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The reason may lie in the role of tranketolase in the reductive pentose pathway which remains a source a carbons such as in ribose required for neucleotide synthesis, NADPH and reduced glutathione in addition to aromatic acids and fatty acids required for cellular growth in general and explosive growth in particular

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In rare cases, semaglutide may cause more severe side effects, such as pancreatitis, thyroid cancer, and allergic reactions

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